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Reaching the unreached; mobile health teams in conflict settings

2019· letter· en· W2982359514 on OpenAlexaff
Zulfiqar A Bhutta

Bibliographic record

VenueArchives of Disease in Childhood · 2019
Typeletter
Languageen
FieldMedicine
TopicGlobal Maternal and Child Health
Canadian institutionsHospital for Sick ChildrenSickKids Foundation
Fundersnot available
KeywordsMedicinePsychological interventionContext (archaeology)ReceiptIntegrated Management of Childhood IllnessAfghanHealth careNursingEnvironmental healthFamily medicinePopulationHealth servicesEconomic growth

Abstract

fetched live from OpenAlex

Edmond et al present an analysis of the potential impact of mobile health team (MHT) on the coverage of maternal and child health interventions in rural Afghanistan.1 These MHTs have been part of the repertoire of services of the Afghan health services since 2003 focused on remote and difficult to reach rural villages and outposts. Each MHT consisted of an officially accredited midwife, vaccinator and nurse and mainly provide basic maternal and child health services including immunisations to pregnant and postpartum women, and children aged under 5 years of age. In comparison with districts that did not receive MHT services, Edmond et al found significant increases in available district-based health information for antenatal care, measles vaccination and receipt of at least one recommended IMCI service for diarrhoea and pneumonia management. These are important findings given the context of populations and families affected by conflict and insecurity. There are limited data on the relative contribution of conflict and insecurity to maternal and child health and survival globally and what exists, strongly suggests that coverage of key interventions and survival are relatively poor in such settings.2 Afghanistan is a case in point with long-standing conflict and previous evaluations have shown major differences in coverage of interventions geographically and in relation to conflict intensity.3 These …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.010
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.014
Threshold uncertainty score0.028

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.010
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0040.001
Scholarly communication0.0020.001
Open science0.0010.002
Research integrity0.0030.003
Insufficient payload (model declined to judge)0.0080.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.010
GPT teacher head0.277
Teacher spread0.267 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2019
Admission routes1
Has abstractyes

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